| NPI | 1154564102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD FRANK BENNETT Speech Therapist 570-586-1002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: PA 395701) |
| Enumeration Date | 2009-04-07 |
| Last Update Date | 2009-04-07 |